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Source: Diving and Hyperbaric Medicine
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Total 7890 results found since Jan 2013.
A pro/con review comparing the use of mono- and multiplace hyperbaric chambers for critical care.
Authors: Lind F
Abstract
Hyperbaric oxygen treatment (HBOT) of critically ill patients requires special technology and appropriately trained medical team staffing for '24/7' emergency services. Regardless of the chamber system used it is essential that the attending nurse and critical care specialist understand the physics and physiology of hyperbaric oxygen for safe treatment and compression/decompression procedures. Mechanical ventilation through endotracheal tube or tracheotomy is hampered by the increased gas density and flow resistance with risks of hypoventilation, carbon dioxide retention and oxygen seizures...
Source: Diving and Hyperbaric Medicine - December 11, 2015 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
Staffing and training issues in critical care hyperbaric medicine.
Authors: Kot J
Abstract
The integrated chain of treatment of the most severe clinical cases that require hyperbaric oxygen therapy (HBOT) assumes that intensive care is continued while inside the hyperbaric chamber. Such an approach needs to take into account all the risks associated with transportation of the critically ill patient from the ICU to the chamber and back, changing of ventilator circuits and intravascular lines, using different medical devices in a hyperbaric environment, advanced invasive physiological monitoring as well as medical procedures (infusions, drainage, etc) during long or frequently repea...
Source: Diving and Hyperbaric Medicine - December 11, 2015 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
Hyperbaric intensive care technology and equipment.
Authors: Millar IL
Abstract
In an emergency, life support can be provided during recompression or hyperbaric oxygen therapy using very basic equipment, provided the equipment is hyperbaric-compatible and the clinicians have appropriate experience. For hyperbaric critical care to be provided safely on a routine basis, however, a great deal of preparation and specific equipment is needed, and relatively few facilities have optimal capabilities at present. The type, size and location of the chamber are very influential factors. Although monoplace chamber critical care is possible, it involves special adaptations and i...
Source: Diving and Hyperbaric Medicine - December 11, 2015 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
Investigating critical flicker fusion frequency for monitoring gas narcosis in divers.
CONCLUSIONS: CFFF did not significantly change in our experiments when breathing air at 608 kPa compared to air breathing at sea level pressure using both devices. Based on our results CFFF does not seem to be a sensitive tool for measuring gas narcosis in divers in our laboratory setting.
PMID: 33325019 [PubMed - in process]
Source: Diving and Hyperbaric Medicine - December 17, 2020 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
Lost at sea: the medicine, physiology and psychology of prolonged immersion.
Authors: Massey H, Leach J, Davis M, Vertongen V
Abstract
In most countries, immersion represents the second most common cause of accidental death in children and the third in adults. Between 2010 and 2013, 561 deaths worldwide involving recreational divers were recorded by the Divers Alert Network. Consequently, there is no room for complacency when diving. Being lost at sea is a diver's worst nightmare. In 2006, a diver was lost at sea off the coast of New Zealand for 75 hours. It is unprecedented that, after such a long time immersed in temperate (16-17°C) waters, he was found and survived. His case is presente...
Source: Diving and Hyperbaric Medicine - December 15, 2017 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
Scuba diving and otology: a systematic review with recommendations on diagnosis, treatment and post-operative care.
Authors: Livingstone DM, Smith KA, Lange B
Abstract
Scuba diving is a popular recreational and professional activity with inherent risks. Complications related to barotrauma and decompression illness can pose significant morbidity to a diver's hearing and balance systems. The majority of dive-related injuries affect the head and neck, particularly the outer, middle and inner ear. Given the high incidence of otologic complications from diving, an evidence-based approach to the diagnosis and treatment of otic pathology is a necessity. We performed a systematic and comprehensive literature review including the pathoph...
Source: Diving and Hyperbaric Medicine - June 24, 2017 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
Safety of transport and hyperbaric oxygen treatment in critically-ill patients from Padua hospitals into a centrally-located, stand-alone hyperbaric facility.
CONCLUSIONS: With meticulous monitoring, efficient transport and well-trained personnel, the risks associated with transportation and HBOT can be acceptable for the referring physician.
PMID: 27723016 [PubMed - in process]
Source: Diving and Hyperbaric Medicine - October 11, 2016 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
Identifying and acting on inappropriate metadata: a critique of the Grattan Institute Report on questionable care in Australian hospitals.
CONCLUSION: Numerous methodological flaws and factual errors have been identified in this Grattan Institute study. Its conclusions are not valid and a formal retraction is required.
PMID: 28357824 [PubMed - in process]
Source: Diving and Hyperbaric Medicine - April 1, 2017 Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
Technical validation of the EMMA capnometer under hyperbaric conditions
CONCLUSIONS: This study validated EMMA capnometer function to 281 kPa in the hyperbaric environment. The device over-read CO₂ measurements at pressures >141 kPa, however there was a linear relationship between expected and measured CO₂. The EMMA capnometer may be clinically useful for monitoring expired CO₂ in patients undergoing hyperbaric oxygen treatment.PMID:37365127 | DOI:10.28920/dhm53.2.100-110
Source: Diving and Hyperbaric Medicine - June 26, 2023 Category: Sports Medicine Authors: Alicia Tucker David Smart Source Type: research
